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Paramedic ALS Guide > Common Drugs > Flashcards

Common Drugs Flashcards

1
Q

What is the trade name of Diazepam?

A

Valium

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2
Q

What is the onset and duration of Diazepam?

A

Onset:1-5 min IV, 15-30 min IM,
Duration: 15-60

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3
Q

What is the classification of Diazepam?

A

Benzodiazepine

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4
Q

What is the action of Diazepam?

A

Induces Amnesia and sedation, raises seizure threshold

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5
Q

What are the contra/ cautions of Diazepam?

A

Respiratory depression, coma, head injury

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6
Q

What are the indications of Diazepam?

A

Seizures, chemical sedation, anxiety

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7
Q

What are the side/ adverse effects of Diazepam?

A

respiratory depression, muscle weakness

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8
Q

What is the route/ administration of Diazepam?

A

IV/ IO/ Rectal every 5 min

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9
Q

What is the adult dose of Diazepam?

A

5-10 mg (max 30 mg), cut dose in half for patients on narcotics or alcohol

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10
Q

What is the pediatric dose of Diazepam?

A

0.1 mg/kg (max 10 mg)

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11
Q

What is the trade name of Fentanyl?

A

Sublimaze

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12
Q

What is the onset and duration of Fentanyl?

A

Fast less than 5 minutes

Duration: Moderate 30 minutes or less

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13
Q

What are the contra. cautions of Fentanyl?

A

Traumatic brain injury, patients takng MAOI, Myasthenia gravis, respiratory depression

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14
Q

What are the side/ adverse effects of Fentanyl?

A

CNS depression, nausea, vomiting

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15
Q

What is the route/ administration of Fentanyl?

A

IV/IN/IM/IO

doses may be given every 10 minutes

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16
Q

What is the adult dose of Fentanyl?

A

50-100mcg (max 200 mcg)

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17
Q

What is the pediatric dose of Fentanyl?

A

1 mcg/kg (max 75 mcg per dose)

2 mcg/kg for intranasal max 100 mcg per dose

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18
Q

What is the onset and duration of Ketamine?

A

Onset: 30 seconds
Duration: 5-10 min

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19
Q

What are the contra/ cautions of Ketamine?

A

severe hypertension

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20
Q

What are the side/ adverse effects of Ketamine?

A

Hypertension, Tachycardia, Increased ICP, Visual hallucinations

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21
Q

What is the route/ administration of Ketamine?

A

Pain or anxiety: IV/IO may be given every 5 minutes, IN dose given once.
Chemical sedation/ excited delirium: IV/IO/IM given once.

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22
Q

What is the adult dose of Ketamine?

A

Pain/anxiety: 10-20 mg (max 40 mg) IN: 50mg

Chemical sedation: 2 mg/kg, IM:4 mg/kg

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23
Q

What is the pediatric dose of Ketamine?

A

Pain/anxiety:0.15-.3 mg/kg (max .6mg/kg) IN .7mg/kg

Chemical sedation: 1mg/kg, IM:3mg/kg

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24
Q

What is the trade name of Lorazepam?

25
What is the onset/ duration of Lorazepam?
Onset: 1-3 min IV, 10-30 min IM Duration: 2hrs
26
What is the action of Lorazepam?
induces amnesia and sedation, raises seizure threshold.
27
What is the indication of Lorazepam?
Seizures, severe anxiety, sedation
28
What are the contra/ cautions of Lorazepam?
Coma, suspected drug abuse
29
What are the side/ adverse effects of Lorazepam?
CNS depression, hypotension, bradycardia
30
What is the route/ administration of Lorazepam?
IV/IO may be given every 5 minutes
31
What is the adult dose of Lorazepam?
1-2 mg max of 4 mg
32
What is the pediatric dose of Lorazepam?
0.1 mg/kg
33
What is the trade name of Midazolam?
Versed
34
What is the onset/ duration of Midazolam?
Onset: 1-3 min IV Duration: 2-6 hours IV
35
What is the action of Midazolam?
induces amnesia and sedation, raises seizure threshold.
36
What are the contra/ cautions of Midazolam?
respiratory depression, coma
37
What are is the side effect of Midazolam?
respiratory depression
38
What is the route/ administration of Midazolam?
IV/IO titrate to effect, IN, IM
39
What is the adult dose of Midazolam?
IV/IO 2 mg increments (max of 10 mg) IN: 5 mg each nostril (max 10 mg) IM: 5 mg may be repeated once after 10 min (max 10 mg) Cut in half for patients on narcotics or alcohol
40
What is the pediatric dose of Midazolam?
IV/IO: 0.1 mg/kg IN: 0.2 mg/kg IM: 0.2 mg/kg may be repeated once after 10 min Cut in half for patients on narcotics or alcohol
41
What is the onset/ duration of Morphine?
Onset:1-2 min Duration: 2-7 hrs
42
What is the action of Morphine?
Alleviates pain, decreases myocardial oxygen demand by lowering BP
43
What is the contra/ cautions of Morphine?
Head injury, CVA, depressed respiratory drive, undiagnosed abdominal pain, hypotension, MAOI use within 14 days.
44
What are the side/ adverse effects of morphine?
sedation, CNS depression, syncope
45
What is the route/ administration of Morphine?
IV/IO/IM may be given every 10 minutes, titrate to effect.
46
What is the adult dose of Morphine?
4-10mg (max 20 mg) call OLMC for additional doses
47
What is the pediatric dose of Morphine?
0.1 mg/kg (max 4 mg per dose)
48
What is the onset/ duration Naloxone?
Onset: 2 min Durations: 30-60 min (not as long as heroin)
49
What is the contra/ caution of Naloxone?
Caution with narcotic- dependent patients
50
What are the side/ adverse effects of Naloxone?
Withdrawal symptoms, nausea, vomiting, seizures.
51
What is the route/ administration of Naloxone?
IV/IN/IM/IO may repeat once
52
What is the adult dose of Naloxone?
0.4-2.0 mg
53
What is the pediatric dose of Naloxone?
0.1 mg/kg
54
What is the onset/ duration of Ondansetron?
Onset: 15-30 min Duration: 3-6 hrs
55
What are the contra/ cautions of Ondansetron?
Hypersensitivity, GI obstruction, use caution with liver disease pt's
56
What are the side/adverse effects of Ondansetron?
ECG irregularities (rare), dizziness, headache, hiccups, pruritus, chills
57
What is the route/ administration of Ondansetron?
IV/IM/PO
58
What is the adult dose of Ondansetron?
4-8 mg
59
What is the pediatric dose of Ondansetron?
0.1 mg/kg (max 4 mg)

Paramedic ALS Guide (11 decks)

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